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End of Life Issues (Miscellaneous)
excerpt from LETTER OF JOHN PAUL II TO THE ELDERLY, 1999 Guardians of shared memory 9. In the past, great respect was shown to the elderly. "Great was once the reverence given to a hoary head", says Ovid, the Latin poet.(13) Centuries earlier, the Greek poet Phocylides had admonished: "Respect grey hair: give to the elderly sage the same signs of respect that you give your own father".(14) And what of today? If we stop to consider the current situation, we see that among some peoples old age is esteemed and valued, while among others this is much less the case, due to a mentality which gives priority to immediate human usefulness and productivity. Such an attitude frequently leads to contempt for the later years of life, while older people themselves are led to wonder whether their lives are still worthwhile. It has come to the point where euthanasia is increasingly put forward as a solution for difficult situations. Unfortunately, in recent years the idea of euthanasia has lost for many people the sense of horror which it naturally awakens in those who have a sense of respect for life. Certainly it can happen that, when grave illness involves unbearable suffering, the sick are tempted to despair and their loved ones or those responsible for their care feel compelled by a misguided compassion to consider the solution of "an easy death" as something reasonable. Here it should be kept in mind that the moral law allows the rejection of "aggressive medical treatment" (15) and makes obligatory only those forms of treatment which fall within the normal requirements of medical care, which in the case of terminal illness seeks primarily to alleviate pain. But euthanasia, understood as directly causing death, is another thing entirely. Regardless of intentions and circumstances, euthanasia is always an intrinsically evil act, a violation of God's law and an offence against the dignity of the human person.(16) 10. There is an urgent need to recover a correct perspective on life as a whole. The correct perspective is that of eternity, for which life at every phase is a meaningful preparation. Old age too has a proper role to play in this process of gradual maturing along the path to eternity. And this process of maturing cannot but benefit the larger society of which the elderly person is a part. Elderly people help us to see human affairs with greater wisdom, because life's vicissitudes have brought them knowledge and maturity. They are the guardians of our collective memory, and thus the privileged interpreters of that body of ideals and common values which support and guide life in society. To exclude the elderly is in a sense to deny the past, in which the present is firmly rooted, in the name of a modernity without memory. Precisely because of their mature experience, the elderly are able to offer young people precious advice and guidance. In view of all this, the signs of human frailty which are clearly connected with advanced age become a summons to the mutual dependence and indispensable solidarity which link the different generations, inasmuch as every person needs others and draws enrichment from the gifts and charisms of all. Here the reflections of a poet dear to me are pertinent: "It is not the future alone which is eternal, not the future alone!. . . Indeed, the past too is the age of eternity: Nothing which has already happened will come back today as it was. . . It will return, but as Idea; it will not return as itself".(17) "Honour your father and mother" 11. Why then should we not continue to give the elderly the respect which the sound traditions of many cultures on every continent have prized so highly? For peoples influenced by the Bible, the point of reference through the centuries has been the commandment of the Decalogue: "Honour your father and mother", a duty which for that matter is universally recognized. The full and consistent application of this commandment has not only been a source of the love of children for their parents, but it has also forged the strong link which exists between the generations. Where this commandment is accepted and faithfully observed, there is little danger that older people will be regarded as a useless and troublesome burden. The same commandment also teaches respect for those who have gone before us and for all the good which they have done: the words "father and mother" point to the past, to the bond between generations which makes possible the very existence of a people. In the two versions found in the Bible (cf. Ex 20:2-17; Dt 5:6-21), this divine commandment is the first of those inscribed on the second Tablet of the Law, which deals with the duties of human beings towards one another and towards society. Furthermore, it is the only commandment to which a promise is attached: "Honour your father and mother, so that your days in the land which the Lord your God gives you may be long" (Ex 20:12; cf. Dt 5:16). 12. "Rise in the presence of one with grey hair; honour the person of the older man" (Lev 19:32). Honouring older people involves a threefold duty: welcoming them, helping them and making good use of their qualities. In many places this happens almost spontaneously, as the result of long-standing custom. Elsewhere, and especially in the more economically advanced nations, there needs to be a reversal of the current trend, to ensure that elderly people can grow old with dignity, without having to fear that they will end up no longer counting for anything. There must be a growing conviction that a fully human civilization shows respect and love for the elderly, so that despite their diminishing strength they feel a vital part of society. Cicero himself noted that "the burden of age is lighter for those who feel respected and loved by the young".(18) Furthermore, while the human spirit has some part in the process of bodily aging, in some way it remains ever young if it is constantly turned towards eternity. This experience of enduring youthfulness becomes all the more powerful when to the inner witness of a good conscience is joined the sympathetic concern and grateful affection of loved ones. Then, as Saint Gregory of Nazianzus writes, a man "will not grow old in spirit, but will accept dissolution as the moment fixed for the freedom which must come. Gently he will cross into the beyond, where there is neither youth nor old age, but where all are perfect in spiritual maturity".(19) We are all familiar with examples of elderly people who remain amazingly youthful and vigorous in spirit. Those coming into contact with them find their words an inspiration and their example a source of comfort. May society use to their full potential those elderly people who in some parts of the world - I think especially of Africa - are rightly esteemed as "living encyclopaedias" of wisdom, guardians of an inestimable treasure of human and spiritual experiences. While they tend to need physical assistance, it is equally true that in their old age the elderly are able to offer guidance and support to young people as they face the future and prepare to set out along life's paths. While speaking of older people, I would also say a word to the young, to invite them to remain close to the elderly. Dear young people, I urge you to do this with great love and generosity. Older people can give you much more than you can imagine. The Book of Sirach offers this advice: "Do not disregard what older people say, because they too have learnt from their parents" (8:9); "Attend the meetings with older people. Is there one who is wise? Spend time with him" (6:34); for "wisdom is becoming to the elderly" (25:5). 13. The Christian community can receive much from the serene presence of older people. I think first of all in terms of evangelization: its effectiveness does not depend principally on technical expertise. In how many families are grandchildren taught the rudiments of the faith by their grandparents! There are many other areas where the elderly can make a beneficial contribution. The Spirit acts as and where he wills, and quite frequently he employs human means which seem of little account in the eyes of the world. How many people find understanding and comfort from elderly people who may be lonely or ill and yet are able to instill courage by their loving advice, their silent prayers, or their witness of suffering borne with patient acceptance! At the very time when their physical energies and their level of activity are decreasing, these brothers and sisters of ours become all the more precious in the mysterious plan of Providence. In addition to the obvious psychological need of the elderly themselves, the most natural place to spend one's old age continues to be the environment in which one feels most "at home", among family members, acquaintances and friends, where one can still make oneself useful. As the number of older people increases, keeping pace with the rise in average life expectancy, it will become more and more important to promote a widespread attitude of acceptance and appreciation of the elderly, and not relegate them to the fringes. The ideal is still for the elderly to remain within the family, with the guarantee of effective social assistance for the greater needs which age or illness entail. On the other hand, there are situations where circumstances suggest or demand that they be admitted to "homes for the elderly" where they can enjoy the company of others and receive specialized care. Such institutions are indeed praiseworthy, and experience shows that they can provide a valuable service when they are inspired not only by organizational efficiency but also by loving concern. Everything becomes easier when each elderly resident is helped by family, friends and parish communities to feel loved and still useful to society. How can we fail to mention here, with admiration and gratitude, the Religious Congregations and volunteer groups specifically devoted to the care of the aged, especially the poor, the abandoned and those in difficulty? Dear elderly friends who feel insecure because of ill health or other circumstances, I assure you of my closeness and affection. When God permits us to suffer because of illness, loneliness or other reasons associated with old age, he always gives us the grace and strength to unite ourselves with greater love to the sacrifice of his Son and to share ever more fully in his plan of salvation. Let us be convinced of this: he is our Father, a Father rich in love and mercy! My thoughts turn in a special way to you, widows and widowers, who find yourselves alone in the final part of your lives; to you, elderly men and women Religious, who for long years have faithfully served the cause of the Kingdom of Heaven; and to you, dear brother Priests and Bishops, who, for reasons of age, no longer have direct responsibility for pastoral ministry. The Church still needs you. She appreciates the services which you may wish to provide in many areas of the apostolate; she counts on the support of your longer periods of prayer; she counts on your advice born of experience, and she is enriched by your daily witness to the Gospel. "You show me the path of life, in your presence there is fullness of life" (Ps 16:11) 14. It is natural that, as the years pass, we should increasingly consider our "twilight". If nothing else, we are reminded of it by the very fact that the ranks of our family members, friends and acquaintances grow ever thinner; we become aware of this in a number of ways, when for example we attend family reunions, gatherings of our childhood friends, classmates from school and university, or former colleagues from the military or the seminary. The line separating life and death runs through our communities and moves inexorably nearer to each of us. If life is a pilgrimage towards our heavenly home, then old age is the most natural time to look towards the threshold of eternity. And yet, even we elderly people find it hard to resign ourselves to the prospect of making this passage. In our human condition touched by sin, death presents a certain dark side which cannot but bring sadness and fear. How could it be otherwise? Man has been made for life, whereas death - as Scripture tells us from its very first pages (cf. Gen 2-3) - was not a part of God's original plan but came about as a consequence of sin, as a result of "the devil's envy" (Wis 2:24). It is thus understandable why, when faced with this dark reality, man instinctively rebels. In this regard it is significant that Jesus, "who in every respect has been tempted as we are, yet without sin" (Heb 4:15), also experienced fear in the face of death: "Father, if it be possible, let this cup pass from me" (Mt 26:39). How can we forget his tears at the tomb of his friend Lazarus, despite the fact that he was about to raise him from the dead (cf. Jn 11:35)? However rationally comprehensible death may be from a biological standpoint, it is not possible to experience it as something "natural". This would contradict man's deepest instincts. As the Council observed: "It is in the face of death that the riddle of human existence becomes most acute. Not only is man tormented by pain and by the advancing deterioration of his body, but even more so by a dread of perpetual extinction".(20) This anguish would indeed be inconsolable were death complete destruction, the end of everything. Death thus forces men and women to ask themselves fundamental questions about the meaning of life itself. What is on the other side of the shadowy wall of death? Does death represent the definitive end of life or does something lie beyond it? 15. Human history, from the most ancient times down to our own day, has provided a number of simplistic answers which limit life to what we experience on earth. In the Old Testament itself, certain passages in the Book of Ecclesiastes seem to present old age as a building in ruins and death as its final and utter destruction (cf 12:1-7). But precisely against the backdrop of these pessimistic attitudes there shines forth the hope-filled outlook present in revelation as a whole and particularly in the Gospel: "God is not God of the dead, but of the living" (cf. Lk 20:38). The Apostle Paul affirms that God, who gives life to the dead (cf. Rom 4:17), will also give life to our mortal bodies (cf. ibid., 8:11). And Jesus says of himself: "I am the resurrection and the life; he who believes in me, though he die, yet shall he live, and whoever lives and believes in me shall never die" (Jn 11:25-26). Christ, having crossed the threshold of death, has revealed the life which lies beyond this frontier, in that uncharted "territory" which is eternity. He is the first witness of eternal life; in him human hope is shown to be filled with immortality. "The sadness of death gives way to the bright promise of immortality".(21) These words, which the Church's Liturgy offers as a consolation to believers as they bid farewell to their loved ones, are followed by a proclamation of hope: "Lord, for your faithful people life is changed, not ended. When the body of our earthly dwelling lies in death we gain an everlasting dwelling place in heaven".(22) In Christ, death - tragic and disconcerting as it is - is redeemed and transformed; it is even revealed as a "sister" who leads us to the arms of our Father.(23) 16. Faith thus illuminates the mystery of death and brings serenity to old age, now no longer considered and lived passively as the expectation of a calamity but rather as a promise-filled approach to the goal of full maturity. These are years to be lived with a sense of trusting abandonment into the hands of God, our provident and merciful Father. It is a time to be used creatively for deepening our spiritual life through more fervent prayer and commitment to the service of our brothers and sisters in charity.
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